Active Lifestyle Chiropractic,sc
NPI 1194801191ActiveOrganization· Chiropractor· Wautoma, WI
Chiropractor in Wautoma, Wisconsin, registered in NPPES in October 2006. The authorized official on file is David Michael Gruszka, D.C., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194801191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3391 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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